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HIMSS/RSNAIHE IT Infrastructure6 The IHE Technical Approach Identify the transactions required to integrate a specific information flow between several information systems/devices For each transaction, select a single standard (e.g.HL7 messages, RFC) for use in implementing the transaction Specify in detail the use of the standard in implementing the transaction

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HIMSS/RSNAIHE IT Infrastructure8 IHE IT Infrastructure 5 Integration Profiles Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Consistent Time Coordinate time across networked systems Consistent Time Coordinate time across networked systems

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HIMSS/RSNAIHE IT Infrastructure9 IHE IT Infrastructure 5 Integration Profiles Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Consistent Time Coordinate time across networked systems Consistent Time Coordinate time across networked systems Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user

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HIMSS/RSNAIHE IT Infrastructure14 IHE IT Infrastructure 5 Integration Profiles Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Consistent Time Coordinate time across networked systems Consistent Time Coordinate time across networked systems Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications

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HIMSS/RSNAIHE IT Infrastructure16 Value Proposition: User Convenience: – Eliminates the repetitive task of selecting the patient in each application – Permits the user to select the patient in the application for which they are most familiar and / or appropriate to the clinical workflow Patient Safety: – Ensures all data being viewed across applications is for the same patient Patient Synchronized Applications

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HIMSS/RSNAIHE IT Infrastructure19 IHE IT Infrastructure 5 Integration Profiles Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Consistent Time Coordinate time across networked systems Consistent Time Coordinate time across networked systems Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains

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HIMSS/RSNAIHE IT Infrastructure20 Patient Identifier Cross-referencing Abstract / Scope Allow all enterprise participants to register the identifiers they use for patients in their domain Support domain systems’ queries for other systems’ identifiers for their patients Optionally, notify domain systems when other systems update identifiers for their patients

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HIMSS/RSNAIHE IT Infrastructure21 Patient Identifier Cross-referencing Value Proposition Maintain all systems’ identifiers for a patient in a single location Use any algorithms (encapsulated) to find matching patients across disparate identifier domains Lower cost for synchronizing data across systems – No need to force identifier and format changes onto existing systems Leverages standards and transactions already used within IHE

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HIMSS/RSNAIHE IT Infrastructure24 IHE IT Infrastructure 5 Integration Profiles Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Consistent Time Coordinate time across networked systems Consistent Time Coordinate time across networked systems Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Enterprise User Authentication Provide users a single name and centralized authentication process across all systems

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HIMSS/RSNAIHE IT Infrastructure25 Enterprise User Authentication Abstract / Scope Support a single enterprise governed by a single set of security policies and having a common network domain. Establish one name per user that can then be used on all of the devices and software in a healthcare enterprise. Facilitate centralized user authentication management. Provide users with single sign-on.

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HIMSS/RSNAIHE IT Infrastructure29 IHE IT Infrastructure 5 Integration Profiles Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Enterprise User Authentication Provide users a single name and centralized authentication process across all systems Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient Patient Synchronized Applications Consistent Time Coordinate time across networked systems Consistent Time Coordinate time across networked systems

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HIMSS/RSNAIHE IT Infrastructure36 Integration profiles, the easy way to deal with transactions easy-to-understand, coherent functional sets and a convenient way for users and vendors to communicate about integration requirements and needed functionality in daily life.